Telenursing…the Future Is Now
Trishana Mcintosh
Chamberlain University
Telenursing…The Future Is Now
“…. 45 percent of patients prefer phone communication while 49 percent prefer email communication. (Study Reveals Personalizd, Virtual Messages Are Key To Patient Engagement)” Telehealth encompasses preventive, promotive and curative aspects of healthcare in efforts to assist patients in maintaining their maximum levels of health and wellness. Telenursing more specifically is the use of telephone communications to provide nursing care to patients. This is what Manual will be doing if he decides to accept the position of telenurse specialist at the home health agency. Instead of the
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The promotion and use of telenursing can be beneficial to hospitals and other healthcare organizations because “The American Recovery and Reinvestment Act of 2009 provides billions of dollars in stimulus funding for research, operations, and grants in the telemedicine, telehealth and informatics sector. (Hebda & Czar, 2013)”
There are however many adversities and uncertainties revolving telehealth and telenursing. Issues related to licensure and reimbursements are two of the major setbacks in telehealth. Medicaid does not recognize telehealth as a specific medical service and leaves reimbursement options up to individual states to define reimbursement options. Some states mandate that private insurances cover teleheatlh services but most others are left to the discretion of the insurance company. Specialized technologists who have to be specifically trained in health care technologies will need to be employed around the clock for possible issues that may arise on either the provider or patient end. Many uncertainties come from liability concerns. Patients tend to feel that they have been cheated out of a fair visit because no provider provided hands on care to them during their visit. Providers as well may be uncomfortable with the idea of treating patients without face-to-face contact. Nurses face issues of liability when information given via telephone or teleconferences is misinterpreted by the patient and
In the United States, a renewed interest occurred in telehealth in the 1990s according to McGonigle and Mastrian because of escalating costs, the need for greater access for all
Telehealth uses technology to provide services that assist in the management of long term health conditions. For patients, telehealth can be a blessing that allows them to remain in their homes rather than moving to rehabilitation facilities. By taking an active role in their own care, some patients are reducing the number of medications they take, visiting emergency rooms less frequently and even lessening depressive symptoms.
It excludes the option of face-to-face communication during examinations. Finally, telehealth focuses on educational and research purposes involving all types of caregivers with telecommunication between patient and health professionals. Health care delivery in its use of information, records, communication, and will continue to grow with the Internet. The rapid expansion of information technology into daily life and business has healthcare delivery begin to adopt and optimize the use of technology.
Telehealth has become a preferred method of healthcare delivery for many patients and healthcare professionals alike. Some key benefits include its convenience and cost effectiveness. It also allows patients to play a more active role in their own healthcare, which has been found to dramatically increase patient outcomes. While research suggests that the advantages of telehealth outweigh the disadvantages, it is important to note that not everyone would benefit from this form of technology. It is crucial for the patient’s healthcare team to assess if this method of healthcare delivery is appropriate for that individual patient. In today’s society, staying current on the latest technologies is extremely important. Although telehealth
The purpose of this paper is to discuss how technology has impacted the health care delivery system. Health care technology is advancing at an increasingly rapid rate in the United States, and globally. Patients and providers are witnessing these changes through the use of telehealth, and telemedicine applications. Telehealth, and telemedicine are often used interchangeably, however there is a difference between the two applications. Telehealth is the use of technology to deliver health care, health information, or health education at a distance (U.S. Department of Health and Human Services, n.d.).
Some health insurance providers and employers have health advocates, usually registered nurses, these experts provide medical advice and save the individual time in emergency departments and the doctor’s office unnecessarily. According to Sewell (2016), “Telenursing offers nurses a chance create more collaborative and autonomous roles and at the same time reduce the overall cost of healthcare” (p.322). My experience with telehealth is limited to home health care, our company would have us follow up high risk new admissions with a daily phone call for the first
The incorporation of telehealth shows tremendous productivity, because it expands quality services to patients in other regions especially in underservices populations by cutting down on healthcare spending by
Telehealth has been a large topic of debate in recent years because of the economic, political, and regulatory points of view. In deciding outcomes in these areas, it is the responsibility of all healthcare professions to identify information gaps in order to come to the more rational and beneficial conclusion about telehealth (Grace, 2014). Economically, there are concerns regarding the access and affordability of telehealth equipment. At the same time, telehealth is being adapted in ways to be utilized with technological devices that many individuals already have access to like telephones, cellular phones, and personal computers/laptops. Telehealth can positively impact both clients and providers by increasing access to care and reducing the time and costs associated with traveling for health care (Allen, Aylott, Loyola, Moric, & Saffarek, 2015). As telehealth develops technological devices can be made more affordable and can be covered by insurance policies (Thomas et al., 2014). Many nurses functioning as case managers can help provide the tools and resources individuals require to manage their health.
daunting task of caring for a rapidly aging and ever expanding population1—the corollary of which is increased need for
“Telehealth changes the location of care by connecting patients and clinicians virtually, in place of the usual face-to-face contact.” (Darkins 2012).
Increasing access to quality health care services is a problem that can be tackled with emerging technology, such as Telehealth. Telehealth is becoming universally essential for efficient, cost-effective delivery of health care across a variety of settings (Bashshur & Shannon, 2010). Telehealth is proving to be an effective tool in combatting the problem of provider shortages as evidenced by rural hospitals starting to provide electronic consultations with specialists all over the country (Betbeze, 2017). Although telehealth technologies were originally aimed at improving access to health care for geographically remote patients, the areas of care being used by telehealth has extended its use well beyond those who are geographically isolated
The delivery of health care has always been influenced by technological developments and innovations. This is particularly true in modern health care professionals where they are obsessed with technology and rush to apply them. One of the most recent applications of ICT – Information and computer technology- is telehealth. Telehealth is the use of communication, diagnostic and information technology to provide health care when patients and providers are geographically separated [2], Technologies include videoconferencing, the internet, store -and-forward imaging, streaming media, terrestrial and wireless communications. Telehealth could be as simple as two health professionals discussing a case over the telephone or as
There is an increasing need within the U.S. for quality health care to be provided to individuals who have limited access whether it is due to a rural environment, disabilities, or in the field of battle. Telemedicine is literally medicine provided at a distance. Telehealth is able to alleviate some of the effects of a growing shortage of professionals such as primary care physicians. In this type of health care delivery, the dynamics between the patient and the entire health care system changes. Telemedicine meets the increasing demands of patients to have greater access, or responsiveness, from a health care provider. It also meets the needs of the provider who is very interested in time-saving, safety-enhancing assistance in their daily practice. Employers and health plans are also very interested in telemedicine as a means of improving compliance with treatment plans and care management initiatives (Hodgkins, 2008). The use of email also allows the patient to have increased access to their health care providers. Instead of calling their health care provider’s office, patients are now able to email their non-emergent health care questions to their provider. Conversely, health care providers are able to email patients reminders for appointments or wellness tips.
There are several forms of technology that is used to monitor, assist patients with self-care management, assist physicians with delivering care to their patients, including consultation with specialist, and overcoming barriers with transportation. “60% of the healthcare executives, physicians, and nurses in this inaugural survey said that telemedicine was a high priority for 2015“ (Vockley, 2015, para. 7) Telemedicine
Telenursing uses the technology for the nurses to do follow-up care with patients. The modern approach of follow-up care comforts the patient. Telenursing, the use of technology to allow nursing from a geographic distance, is used in many different settings including hospitals, home care, and other health related facilities. Telenursing is communicated via many different devices of technology. These are many different advantages in using telenursing rather than disadvantages. There are many different organizations involved in developing telenursing.